Healthcare EDI Market to Perceive Substantial Growth During 2018–2026

Healthcare EDI Market Enhancement in Medical
Sector 2018 to 2026
Healthcare EDI Market by Component (Services and Solutions), by Delivery
Mode (Web & Cloud-based EDI, EDI VAN, Point-to-Point EDI, and Mobile EDI), by
Transaction Type (Claims Management and Healthcare Supply Chain), by End
User (Healthcare Providers, Healthcare Payers, Medical Device &
Pharmaceutical Industries, and Pharmacies), and by Region - Size, Share,
Outlook and Opportunity Analysis 2018 - 2026
The benefits of EDI over conventional method of data interchange is the major factor driving the
healthcare EDI market growth. EDI reduces data entry time, improves accuracy, reduce operational
cost, and also reduce the rework. Such key features of EDI software supports the growth of Healthcare
EDI Market.
Healthcare EDI Market Dynamics
Increasing digitization and paperless office is enhancing the growth of healthcare EDI market.
Conventionally, data transfer was subjected to paper-based communication, increasing the chance of
human error and making the workflow cumbersome. Henceforth, EDI is an essential component for
creating administrative efficiencies by reducing time and significant cost saving.
Furthermore, the use of EDI serves important role in insurance claims and documentation by
streamlining the reimbursement process for healthcare payers. However, high cost of EDI software and
its application are expected to be the major factor hindering the healthcare EDI market growth over the
forecast period.
Healthcare EDI Market – Competitive Analysis
Healthcare EDI market is dominated by the few major players such as Optum Inc., Dell Technologies
Inc., General Electric Company, Emdeon Inc., The SSI Group, LLC, ZirMed, Inc., Tallan, Inc.,
Quadax, and Allscripts Healthcare Solutions Inc.
The market player involved in healthcare EDI market are focused on improving the EDI facilities by
using various strategies. For instance, in 2015, Medical Transcription Billing, Corp., a healthcare
information technology company, acquired three divisions of QHR Corporation, Canada-based
healthcare technology company. The QHR Corporation is involved in healthcare clearinghouse,
Electronic Data Interchange (EDI), and revenue cycle management divisions.
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Moreover, in 2016, Tallan Inc., combined with Dell Boomi Platform for its T-Connect extensible
framework in order to enhance high data throughput and cop up with ever changing EDI requirement.
In same year, Optum Inc., partnered with Availity, healthcare information Technology Company to
improve the accuracy of health insurance claims and reduce the errors.
Healthcare EDI Market - Regional Analysis
Regional segmentation of healthcare EDI market by Coherent Market Insights include North America,
Latin America, Europe, Asia Pacific, Middle East, and Africa. North America healthcare EDI market
holds dominant position in the global healthcare EDI market, owing to the dominant position is the
advanced healthcare infrastructure of the region. Moreover, increasing adoption of technologically
advanced facilities to improve the healthcare facilities are expected to boost the regional healthcare
EDI market growth. However, Asia Pacific healthcare EDI market is expected to witness fastest growth
attributed to improving healthcare infrastructure in the region, thereby providing the market
opportunity for the market players to penetrate in Asia Pacific region.
Healthcare EDI Market - Taxonomy
On the basis of component, the healthcare EDI market is segmented into:
•Services
•Solutions
On the basis of delivery mode, the healthcare EDI market is segmented into:
•Web & Cloud-based EDI
•EDI VAN
•Point-to-Point EDI
•Mobile EDI
On the basis of transaction type, the healthcare EDI market is segmented into:
•Claims Management
•Claims Submission
•Claim Status
•Eligibility Verification
•Payment Remittance
•Referral Certification & Authorization
•Claim Payments
•Others
•Healthcare Supply Chain
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The benefits of EDI over conventional method of data interchange is the major factor driving the healthcare EDI market growth. EDI reduces data entry time, improves accuracy, reduce operational cost, and also reduce the rework. Such key features of EDI software supports the growth of Healthcare EDI Market.